| NPI | 1083374177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 76615) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 76615) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-02-28 |